Video of Laparoscopic PCOD Needle: A Specialized Instrument for Ovarian Drilling in Polycystic Ovary Syndrome
This video titled "Laparoscopic PCOD Needle: A Specialized Instrument for Ovarian Drilling in Polycystic Ovary Syndrome" presents a step-by-step overview of the use of the PCOD (Polycystic Ovarian Disease) needle—a precise and essential instrument for performing laparoscopic ovarian drilling (LOD). Conducted at World Laparoscopy Hospital under the expert guidance of Prof. Dr. R. K. Mishra, the video showcases how this simple yet powerful tool plays a transformative role in managing clomiphene-resistant infertility in women with PCOS.
Understanding PCOS and the Role of Ovarian Drilling
Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder affecting women of reproductive age, often characterized by anovulation, hyperandrogenism, and polycystic ovaries. While many patients respond to medical ovulation induction, some are resistant to first-line drugs such as clomiphene citrate or letrozole. In such cases, laparoscopic ovarian drilling using the PCOD needle is an effective second-line treatment that helps restore ovulation by creating multiple small punctures on the ovarian surface, reducing stromal androgen production and improving follicular maturation.
Features of the Laparoscopic PCOD Needle
Insulated shaft with exposed tip – Ensures energy delivery is localized to the ovarian surface without damaging adjacent tissues
Attached to monopolar diathermy unit – Typically operated at 40 watts in pure cutting mode
Length and diameter – Designed to fit through a 5 mm port, offering ease of access and maneuverability
Reusable or disposable options – Sterile and safe for repeated use when properly handled
Key Surgical Steps Demonstrated in the Video
Insertion of the PCOD needle through the lateral port
Gentle placement of the needle on the ovarian surface
Application of monopolar current for 4 to 5 seconds at each puncture site
4 to 10 punctures per ovary, depending on ovarian size and stromal thickness
Avoidance of deep penetration to prevent thermal injury to the ovarian reserve
The video emphasizes precision, uniform spacing, and proper thermal control for maximum safety and clinical effectiveness.
Advantages of Using the Laparoscopic PCOD Needle
Minimally invasive, day-care procedure
Restores spontaneous ovulation in over 80% of cases
Reduces serum LH and androgen levels
Improves menstrual regularity and fertility outcomes
Avoids risks of ovarian hyperstimulation syndrome (OHSS) associated with medications
No long-term adhesion formation when performed with gentle technique
Who Benefits Most from This Procedure?
Women with clomiphene-resistant PCOS
Patients with high LH/FSH ratio and elevated testosterone
Women with infertility lasting more than 2 years
Patients with multiple small follicles on ultrasound and failed ovulation induction attempts
Conclusion
The laparoscopic PCOD needle is a crucial instrument for effectively performing ovarian drilling, offering renewed hope to women battling anovulatory infertility due to PCOS. As demonstrated in this educational video from World Laparoscopy Hospital, proper technique, precision, and understanding of ovarian anatomy are key to achieving optimal reproductive outcomes with minimal risk.
Watch the full video to gain insights into the surgical setup, needle handling, and energy application that define successful ovarian drilling.
Don’t forget to like, comment, and subscribe for more surgical demonstrations and fertility-enhancing procedures from World Laparoscopy Hospital, a world leader in minimally invasive gynecological training.
Understanding PCOS and the Role of Ovarian Drilling
Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder affecting women of reproductive age, often characterized by anovulation, hyperandrogenism, and polycystic ovaries. While many patients respond to medical ovulation induction, some are resistant to first-line drugs such as clomiphene citrate or letrozole. In such cases, laparoscopic ovarian drilling using the PCOD needle is an effective second-line treatment that helps restore ovulation by creating multiple small punctures on the ovarian surface, reducing stromal androgen production and improving follicular maturation.
Features of the Laparoscopic PCOD Needle
Insulated shaft with exposed tip – Ensures energy delivery is localized to the ovarian surface without damaging adjacent tissues
Attached to monopolar diathermy unit – Typically operated at 40 watts in pure cutting mode
Length and diameter – Designed to fit through a 5 mm port, offering ease of access and maneuverability
Reusable or disposable options – Sterile and safe for repeated use when properly handled
Key Surgical Steps Demonstrated in the Video
Insertion of the PCOD needle through the lateral port
Gentle placement of the needle on the ovarian surface
Application of monopolar current for 4 to 5 seconds at each puncture site
4 to 10 punctures per ovary, depending on ovarian size and stromal thickness
Avoidance of deep penetration to prevent thermal injury to the ovarian reserve
The video emphasizes precision, uniform spacing, and proper thermal control for maximum safety and clinical effectiveness.
Advantages of Using the Laparoscopic PCOD Needle
Minimally invasive, day-care procedure
Restores spontaneous ovulation in over 80% of cases
Reduces serum LH and androgen levels
Improves menstrual regularity and fertility outcomes
Avoids risks of ovarian hyperstimulation syndrome (OHSS) associated with medications
No long-term adhesion formation when performed with gentle technique
Who Benefits Most from This Procedure?
Women with clomiphene-resistant PCOS
Patients with high LH/FSH ratio and elevated testosterone
Women with infertility lasting more than 2 years
Patients with multiple small follicles on ultrasound and failed ovulation induction attempts
Conclusion
The laparoscopic PCOD needle is a crucial instrument for effectively performing ovarian drilling, offering renewed hope to women battling anovulatory infertility due to PCOS. As demonstrated in this educational video from World Laparoscopy Hospital, proper technique, precision, and understanding of ovarian anatomy are key to achieving optimal reproductive outcomes with minimal risk.
Watch the full video to gain insights into the surgical setup, needle handling, and energy application that define successful ovarian drilling.
Don’t forget to like, comment, and subscribe for more surgical demonstrations and fertility-enhancing procedures from World Laparoscopy Hospital, a world leader in minimally invasive gynecological training.
No comments posted...
| Older Post | Home | Newer Post |
